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Exam (elaborations)

2024 WELLCARE MASTERY EXAM QUESTIONS WITH 100% CORRECT ANSWERS!!

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2024 WELLCARE MASTERY EXAM QUESTIONS WITH 100% CORRECT ANSWERS!!

Institution
Wellcare
Course
Wellcare










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Institution
Wellcare
Course
Wellcare

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Uploaded on
August 18, 2024
Number of pages
16
Written in
2024/2025
Type
Exam (elaborations)
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2024 Wellcare Mastery Exam

1. Brokers/Agents can access the following d.All of These
resources under the Shared Resources
section in Centene Workbench.
a.Training Resources
b.Commission Resources
c.Marketing Resources
d.All of these

2. Although options for capturing and sub- d.All of These
mitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following
methods?
a.Ascend
b.Telephonic
c.Paper
d.All of these

3. Marketing benefits in a service area where True
those benefits are not available is prohibit-
ed and considered misleading unless that
is unavoidable because of local/regional
or media use.
True
False

4. Which elements are available as part of d. All of these
Wellcare's Sales Support model?
a.Online
b.Local
c.Corporate
d.All of these

5. A grievance request, or any evidence con- c. 60
cerning a grievance, must be filed orally
or in writing no later than _____ calendar
days from the date of the event or the date
the member is made aware of the issue.
a.30
b.45


, 2024 Wellcare Mastery Exam

c.60
d.90

6. Brokers/Agents may be investigated after a.Complaint Tracking Module
being suspected of noncompliant activity (CTM)
reported through a: c.Grievance
(Select all that apply.) d.Secret Shop Finding
a.Complaint Tracking Module (CTM)
b.Yelp Review
c.Grievance
d.Secret Shop Finding

7. Brokers/Agents can submit a support tick- True
et online through their Centene Work-
bench portal.
True
False

8. When an enrollment application is com- True
pleted in Ascend, brokers/agents can
complete a Health Risk Assessment
(HRA) directly in Ascend after the en-
rollment application, through the Val-
ue-Based Enrollment (VBE) portal.
True
False

9. Which of the following is not an example c. Library card
of Protected Health Information (PHI)?
a.Medical records
b.Payment history
c.Library card

10. A Health Risk Assessment (HRA): d. All of these
a.Provides physicians with an overview of
a member's health status.
b.Helps us understand the unique health
situation of each of our members and al-
lows us to make sure they receive the ser-
vices that meet their needs.


, 2024 Wellcare Mastery Exam

c.Is an important part of our quality initia-
tive, directly impacting our Star Ratings.
d.All of these

11. The online Centene Workbench self-ser- d. All of these
vice portal enables you to:
a.Upload applications
b.Use the self-service workflows and tick-
eting system
c.Locate valuable documents and re-
sources
d.All of these

12. Communication of PHI can be: a.Written
(Select all that apply.) b.Electronic
a.Written c.Verbal
b.Electronic
c.Verbal

13. You can help prevent grievances by: a.Always confirming availabili-
(Select all that apply.) ty of the beneficiary's prima-
a.Always confirming availability of the ry and specialist providers by
beneficiary's primary and specialist using the provider search tool
providers by using the provider search available on the plan's website.
tool available on the plan's website.
b.Always using plan materials
b.Always using plan materials to clearly to clearly explain plan bene-
explain plan benefits and cost (including fits and cost (including med-
medications) and check for understand- ications) and check for under-
ing. standing.

c.Always confirming a beneficiary's intent c.Always confirming a benefi-
to enroll before accepting their enrollment ciary's intent to enroll before
application. accepting their enrollment ap-
plication.

14. When a paper SOA form is used, it must be a.48 Hours prior to
completed __________ hosting the sales
presentation.
a.48 Hours prior to

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